Andersson G, Melin L, Lindberg P, Scott B
Department of Clinical Psychology, Uppsala University, Sweden.
Scand Audiol. 1995;24(3):147-54. doi: 10.3109/01050399509047528.
A short scale for self-assessment of experiences of hearing impairment--the Hearing Coping Assessment (HCA) was developed and administered to 114 consecutive hearing-impaired patients at a Swedish hearing centre. The scale was evaluated in terms of descriptive statistics, reliability, principal components analysis, and validity. The results showed high internal consistency, high split-half correlation, and high item-total correlations. Significant correlations were found between the HCA questionnaire and measures of optimism, depressive syndrome, and audiogram (PTA). The principal component analysis showed two meaningful factors. The first mainly represents disability, and the second emotional reactions due to hearing loss. Aspects of handicap were present in both factors. The subjects in this study were no less optimistic nor did they show more signs of depressive syndrome than comparable norm groups. Still, optimists reported fewer hearing problems as measured by the HCA. The HCA is proposed as a suitable assessment scale in studies on the effects of counselling.
一种用于听力障碍经历自我评估的简短量表——听力应对评估（HCA）被开发出来，并应用于瑞典一家听力中心的114名连续就诊的听力障碍患者。该量表从描述性统计、信度、主成分分析和效度等方面进行了评估。结果显示出高内部一致性、高分半相关性和高项目-总分相关性。在HCA问卷与乐观度、抑郁综合征及听力图（纯音听阈）测量指标之间发现了显著相关性。主成分分析显示出两个有意义的因素。第一个因素主要代表残疾，第二个因素代表因听力损失产生的情绪反应。两个因素中均存在障碍方面的内容。本研究中的受试者与可比的正常人群组相比，既没有更不乐观，也没有表现出更多的抑郁综合征迹象。不过，乐观者报告的听力问题（通过HCA测量）较少。HCA被提议作为咨询效果研究中一种合适的评估量表。
